Deficiency Records for Winter Haven Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Winter Haven Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-24 | 2024-02-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-24 | 2024-02-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-24 | 2024-02-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-24 | 2024-02-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-24 | 2024-02-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-01-24 | 2024-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-24 | 2024-02-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-01-24 | 2024-02-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-24 | 2024-02-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-24 | 2024-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-24 | 2024-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-22 | 2021-11-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-22 | 2021-11-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-22 | 2021-11-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-22 | 2021-11-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-22 | 2021-11-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-10-22 | 2021-11-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-10-22 | 2021-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-07 | 2020-03-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-02-07 | 2020-03-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-04 | 2020-03-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-04 | 2020-03-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-04 | 2020-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-04 | 2020-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-04 | 2020-03-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-02-04 | 2020-03-07 | N |
